Page 1 of 6
 
 DSS Application for Services  
 [press Ctrl+ to enlarge this application and Ctrl- to reduce] (Cmd+ and Cmd- on a Mac)

Thank you for your interest in services from UW DSS.

This document helps determine eligibility for services and accommodations.



  • Please answer all the questions as carefully as you can.

  • There are a few questions with red stars (*) which must be answered.

  • Use the "Back" and "Next" buttons at the bottom of each page to navigate the Application.

  • Click "Cancel" to leave the survey without saving anything.

  • When you are finished with the last page, be sure to select the "Done" button to submit your Application.


You will receive correspondence from UW DSS regarding your Application within 7-10 days.


 
 

 
  If you need this application provided in an alternative format (e.g. taped, Braille, enlarged, on disk) or need assistance completing it, contact the UW DSS office.

   
1.
*
(e.g. Fall 2017)
 
   
 
 
 Cancel  Next